With our extensive expertise, we are equipped to deliver comprehensive medical billing services across multiple specialties, leveraging a cohesive management team that boasts over 25 years of collective experience. Our commitment to adhering to obligatory Compliance/HIPAA standards ensures that you receive the utmost security and safeguarding for your insurance billing requirements.

Coding & Clinical Documentation Evaluation: Precise medical coding plays a pivotal role in determining your reimbursement levels. The accuracy of accompanying documentation not only safeguards your revenue but also shields you from potential repayment demands. Elite Medical Consultant’s team of certified coders meticulously assesses all clinical documentation, ensuring the utmost precision in OASIS scoring, payment, and quality outcomes. The correlation between accuracy, efficiency, and equitable reimbursement is essential in mitigating risk. Our commitment extends to the continuous education and support of our coders, collaboratively working with your staff to ensure sustained organizational success.

A coding & clinical documentation evaluation by Elite Medical Consultants will:

  • Orient coders and auditors with the latest compliance guidelines and protocols
  • Educate providers on averting errors associated with shortcut EHR/EMR software
  • Cultivate seamless communication synergy among staff

Providers entrust Elite Medical Consultants for enhancing their coding and documentation due to:

Quality Coders and Auditors: Our locally based auditors receive continuous training and guidance from NAMAS (National Alliance of Medical Auditing Specialists), our education division. All team members are credentialed as Certified Professional Coders (CPC®) and Certified Professional Medical Auditors (CPMA®).

Claims Appeals Support: When claims are denied or recovery payments are requested by insurance carriers, our coding and compliance experts step in to assist. We review documentation for accurate coding, compliance, and claim reporting, guiding you through the complete claims appeal process.

Process, Technology, and Infrastructure: Our service approach is process-oriented, optimizing document review through technology, training, dedicated review facilities, and established project management practices.

Reliability and Cost Efficiency: Our central objective is to execute a cost-effective review without compromising the quality of our work product.